Davidson, Sean Luke

Davidson, Sean Luke is an sole proprietor health care provider with primary practice located at 3305 Malloy St , Little Rock AR 72204-4480. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Davidson, Sean Luke can be contacted via phone (501) 412-5520.

Contact Information

Primary practice address
3305 Malloy St Little Rock AR 72204-4480
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X N-7808 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X AR3886 Arkansas

Profile Details

NPI number 1043865082
LBN Legal business name Davidson, Sean Luke
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2019
Last updated Apr 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043865082 NPPES
Arkansas MEDICAID 040114

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